| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.27 | $310.27 | $3,073.00 | |
Medica
| Facility | $401.92 | $524.37 | $834.84 | |
Midlands
| Facility | $614.00 | $835.60 | $3,079.87 | |
Sanford Health Plan
| Professional | $395.28 | $541.10 | $636.54 | |
United
| Facility | $2,714.00 | $2,714.00 | $6,897.94 |